Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jackson, Brandon

Jackson, Brandon was paid $375K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.

33Billing provider infoJACKSON, BRANDON
STATEN ISLAND, NY 10305
33aNPI1861753949assigned 06/05/2012
28Total paid$375K
24GClaims20,733
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in New York

Rank by total paid#44 of 2,013
Median peer was paid$4K
This provider vs. median101×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,039$87K
20193,575$65K
20202,236$38K
20212,448$42K
20222,097$36K
20232,738$51K
2024incomplete2,600$55K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 26% 3,279 3,278 $98K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26% 1,952 1,451 $97K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 2,690 2,690 $54K
D1208 Topical application of fluoride, excluding varnish 8.2% 3,059 3,059 $31K
D0220 Intraoral - periapical first radiographic image 4.3% 3,027 3,011 $16K
D0272 Bitewings - two radiographic images 3.7% 1,650 1,650 $14K
D0230 Intraoral - periapical each additional radiographic image 2.9% 2,880 2,877 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.8% 276 229 $11K
D0274 Bitewings - four radiographic images 2.5% 671 671 $9K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 364 364 $7K
D7140 Extraction, erupted tooth or exposed root 2.0% 165 133 $7K
D1351 Sealant - per tooth 1.6% 239 75 $6K
6 more codes
D2930 Prefabricated stainless steel crown - primary tooth 1.4% 70 $5K
D0140 Limited oral evaluation - problem focused 1.3% 256 $5K
D1206 Topical application of fluoride varnish <1% 92 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 13 $650.00
D0330 Panoramic radiographic image <1% 12 $250.68
D0270 <1% 38 $175.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.